Individual provider Active NPI

Johnathan David Moran, DC

  • Chiropractor
  • Rock Hill, SC
National Provider Identifier
1811793755
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5154 Issued in SC
Practice address
1924 Mt Gallant Rd
Rock Hill, SC 29732-9434
Phone
(803) 323-5500
NPI assigned
Feb 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 5154 SC
Sports Physician Chiropractor 111NS0005X 5154 SC
Chiropractor 111N00000X 5154 SC Primary

Addresses

Primary practice location

1924 Mt Gallant Rd
Rock Hill, SC 29732-9434

Mailing address

3014 Greenwood Park Cir
Albemarle, NC 28001-8536
Phone (910) 333-2846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260109002388 SC Practitioner - Chiropractic 0749766608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1924 Mount Gallant Rd
Rock Hill, SC 29732-9434

3014 Greenwood Park Cir
Albemarle, NC 28001-8536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5154SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Celanese Chiropractic Health & Performance LLC Chiropractor CurrentSince Nov 7, 2025 Accepting new patients

Locations

1924 Mt Gallant Rd
Rock Hill, SC 29732
Phone (803) 323-5500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1811793755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 GREENWOOD PARK CIR",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018536",
            "telephone_number": "910-333-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 MT GALLANT RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329434",
            "telephone_number": "803-323-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "JOHNATHAN",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SC",
            "license": "5154",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "5154",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "5154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.